Review Article

Overcoming Therapeutic Resistance of Bone Sarcomas: Overview of the Molecular Mechanisms and Therapeutic Targets for Bone Sarcoma Stem Cells

Table 2

Regulators of bone sarcoma stem cells.

SubtypeCategoryRegulatorsTarget CSCFunction, clinical relevanceReference

OsteosarcomaSignaling pathwaysMAPK3AB-OSSelf-renewal, tumorigenicity[60, 61]
Wnt/β-cateninSarcosphere, SPTumorigenicity, drug resistance, invasion[64, 65]
NotchALDHOxidative stress, migration, invasion, VEGF expression[69]
TGF-βSarcosphereDedifferentiation, clonogenicity[70]
TNF-αAXTumorigenesis, differentiation[71]
BMP2ALDHTumorigenesis, stem-cell marker, differentiation marker[72]

OsteosarcomaEpigenetic regulatorsmiR-29b3AB-OSSphere, clonogenicity, drug resistance[76]
miR-133aCD133Invasion, metastasis, prognosis[77]
miR-143CD133/ALDHDrug resistance, autophagy, prognosis[78]
miR-1247CD117/Stro-1Sphere, proliferation[79]
HIF2PUTCD133Sphere, proliferation, migration, alteration of HIF2-α mRNA[82]
TelomeraseSarcosphereSphere, invasion, drug resistance, tumorigenicity[85]
TSSC3SarcosphereSphere, clonogenicity, apoptosis, regulate Oct3/4, Nanog, and Sox2[86]
MLH1, MSH2SarcosphereDrug resistance[19]

Ewing sarcomaEpigenetic regulatorsTARBP2CD133Tumorigenicity, CD13 frequency[81]
miR-145CD133Tumorigenicity[80]
miR-143, -145CD133Clonogenicity, tumorigenicity[81]